| NPI | 1730797655 |
|---|---|
| Doing Business As | BEECHTREE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KELCEY JORDAN Office Manager 616-844-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |