| NPI | 1326291816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOHN ROSEMA Owner/ Oral Surgeon 616-281-2370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI 2901011345) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2020-07-28 |