| NPI | 1669630489 |
|---|---|
| Doing Business As | WEST MICHIGAN PERIODONTICS & ADVANCED IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRIAN LEE CILLA Owner President 616-531-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MI 290104700) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |