| NPI | 1881615383 |
|---|---|
| Doing Business As | JOHN VAN TIEM DDS |
| Entity Type | Organization |
| Authorized Contact | JOHN PAUL VAN TIEM President 517-851-8455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901011876) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |