| NPI | 1386195071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS RITZEMA Owner 616-458-7267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901020693) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |