| NPI | 1538636915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC LANGELLIER Owner 616-532-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2020-01-14 |