| NPI | 1447427554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RICHARD SYVERSON President 616-455-4108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 10932) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |