| NPI | 1841694387 |
|---|---|
| Doing Business As | A LIFE OF SMILES |
| Entity Type | Organization |
| Authorized Contact | JERRY B MULDER Doctor 616-458-0631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901012689) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-22 |