| NPI | 1912666132 |
|---|---|
| Doing Business As | DENTAL SOUTH |
| Entity Type | Organization |
| Authorized Contact | WENDY VANTIL Account Manager 616-538-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |