| NPI | 1477233393 |
|---|---|
| Doing Business As | LOA ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | STACY POPE Project Manager 616-283-8867 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-07-25 |