| NPI | 1508324732 |
|---|---|
| Doing Business As | ADVANCED ORAL SURGERY AND DENTAL IMPLANT STUDIO |
| Entity Type | Organization |
| Authorized Contact | MARK LEONARD JESIN Manager 616-369-0360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |