| NPI | 1295839306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARETHA YAMUSAH Dds ,Pc 616-455-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901017365) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901015628) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-08-22 |