| NPI | 1194206433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREL VANDERVELDEN Owner 616-772-6243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901021386) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2019-03-13 |