| NPI | 1750569323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE A CRIPPS President 616-455-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: MI 9406) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |