| NPI | 1154788230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN BURGGRAAF Owner 616-241-2659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901019580) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |