| NPI | 1811463730 |
|---|---|
| Doing Business As | VAN HAREN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RYAN VAN HAREN Dentist 616-949-2941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |