| NPI | 1609503036 |
|---|---|
| Doing Business As | MAIN FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | KRISTIN L MAIN Owner Dentist 616-403-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-08-05 |