| NPI | 1891718284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRIAN DEMETER President 616-531-3430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MI 17118) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |