| NPI | 1891468930 |
|---|---|
| Doing Business As | FAMILY, COSMETIC & IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | THOMAS J BURDO Owner / Dentist 616-784-6377 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |