| NPI | 1699154153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE M BENTON-LANGEJANS President 616-361-0654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 014521) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2024-02-29 |