| NPI | 1164680971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKEY L VAN SWEDEN President 616-785-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901010289) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |