| NPI | 1336654102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREW WAYNE MOELLER Endodontist 616-502-2846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MI 2901020373) |
| Enumeration Date | 2017-12-02 |
| Last Update Date | 2017-12-02 |