| NPI | 1780291815 |
|---|---|
| Doing Business As | EGR DENTAL |
| Entity Type | Organization |
| Authorized Contact | CRAIG THOMAS THORSON Dentist/Owner 616-458-8901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |