| NPI | 1649361999 |
|---|---|
| Doing Business As | CENTER FOR ORAL SURGERY & DENTAL IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA JO HANES Business Office Manager 616-361-7327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2021-11-02 |