| NPI | 1568976017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY K DEYOUNG Owner 616-447-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MI 16365) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |