| NPI | 1275685265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M VAN WINGEN Dentist 231-947-4566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901017484) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |