| NPI | 1902827157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J HERNLY President 616-957-1731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 18009) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |