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 |