| NPI | 1154414886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD D YOUNG President 616-791-0230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 2901013995) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |