NPI | 1497366421 |
---|---|
Doing Business As | NORTHWAY FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JOSHUA P SMITH Member 616-531-7480 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-08-13 |
Last Update Date | 2020-08-13 |