| NPI | 1649803388 |
|---|---|
| Doing Business As | SMITH DENTAL TEAM |
| Entity Type | Organization |
| Authorized Contact | LOGAN CONRAD SMITH Owner Dentist 616-855-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |