| NPI | 1699380584 |
|---|---|
| Doing Business As | RENEW FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA DODDS Dentist 616-245-3205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |