| NPI | 1699275909 |
|---|---|
| Doing Business As | GREENVILLE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | TARA MEACHUM Owner 616-754-8631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |