| NPI | 1699514596 |
|---|---|
| Doing Business As | SIMON FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM HARDENBERGH Owner 616-633-0961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-05-21 |