| NPI | 1871611152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY G. AYLWORTH Dentist 616-855-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 17297) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2013-06-24 |