| NPI | 1578181004 |
|---|---|
| Other Name | DENTAL PEDIATRIC SPECTRUM DEVOS HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | JULIE TATKO CEO 231-745-2743 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2021-03-10 |