| NPI | 1245642297 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | MARK SALHANEY Dentist, Owner 616-957-1304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: 2901021224) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |