| NPI | 1558720466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HEMPHILL Member 616-262-6669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 11009) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |