| NPI | 1881459782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIPE PORTO Orthodontist / Owner 616-743-6569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-19 |