| NPI | 1215155676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEE CHRISTENSEN Dentist 616-399-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 13430) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |