| NPI | 1831267012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS WILLIAM NAGEL President 616-942-8461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901010714) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |