| NPI | 1922407584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CHRISTOPHERSON President 616-949-7510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 2901011536) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |