| NPI | 1558847566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG MCGLAUN Admin 616-719-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901019563) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |