| NPI | 1700287448 |
|---|---|
| Doing Business As | MERCY HEALTH DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT KAMPHUIS Operations Director 616-685-3819 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |