| NPI | 1477560043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ANDREW COE Dentist 616-281-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901018440) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |