| NPI | 1396869020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN L VERMEULEN Dentist President 616-949-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 29001018102) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |