NPI | 1730238577 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS BRUCE WEBB Dentist 616-784-6300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901011152) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901019180) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2021-05-12 |