| NPI | 1376323949 |
|---|---|
| Doing Business As | OTTAWA BEACH DENTAL |
| Entity Type | Organization |
| Authorized Contact | NATHAN B POEL Member 616-430-2430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |