| NPI | 1902271380 | 
|---|---|
| Doing Business As | BELTLINE FAMILY DENTISTRY | 
| Entity Type | Organization | 
| Authorized Contact | MATTHEW DAVID HUDSON Dentist 616-957-4700 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 020184) | 
| Enumeration Date | 2015-12-10 | 
| Last Update Date | 2015-12-10 |