| NPI | 1720537764 |
|---|---|
| Doing Business As | NORTHWAY FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LORREL A HOP Office Manager 616-957-1190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |