| NPI | 1821471616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZZETTE ONA Owner/Dentist 616-281-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 17705) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |