| NPI | 1417728213 |
|---|---|
| Doing Business As | BLUE WATER DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KRISTEN MARIE VELTEMA Member 616-896-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |