| NPI | 1912580614 |
|---|---|
| Doing Business As | JOHNSON FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JARED HECTOR General Dentist 616-826-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-04-30 |