| NPI | 1568075786 |
|---|---|
| Doing Business As | GASLIGHT VILLAGE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOHN ALFRED OSTROWSKI Owner/Dentist 616-292-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2020-08-27 |