| NPI | 1497592414 |
|---|---|
| Doing Business As | KENTWOOD FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RYAN HARTLEY Owner 616-460-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-09 |