| NPI | 1497978290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA SALADIN Dental Insurance Specialist 616-361-2617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 11607) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 11606) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |