NPI | 1588896385 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS ALAN RITZEMA President 231-775-5381 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901016502) |
Enumeration Date | 2009-08-13 |
Last Update Date | 2009-08-13 |