| NPI | 1316759905 |
|---|---|
| Other Name | DESTINATION DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAN KELSEY CFO 616-299-2692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-22 |