| NPI | 1730232638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID VANAPPLEDORN President 616-392-4198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901012857) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2012-06-11 |