| NPI | 1386796134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MAJZNERSKI Owner 616-531-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI L545016) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |