| NPI | 1902005143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE CHRISTINE VALLEAU President 616-455-1301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MI 2901016883) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |