| NPI | 1790242550 |
|---|---|
| Doing Business As | WOODMEADOW DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | THERESA FELLOWS Office Manager 616-957-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |