| NPI | 1366518391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH HASSE KIRKWOOD General Dentist Partner 616-459-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901016145) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901013583) |
| 122300000X Dentist (Licence: MI 2901018904) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |