| NPI | 1184020331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN VELTEMA Dentist 616-896-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901020276) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2016-03-24 |