| NPI | 1740649573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN RIOPELLE Owner 616-850-3970 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 2901021442) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |