| NPI | 1609992296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY DICKSON ARMBRECHT Member 616-455-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 10386) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |