NPI | 1932269248 |
---|---|
Doing Business As | FAMILY DENTAL ASSOC |
Entity Type | Organization |
Authorized Contact | KEITH ALAN COMBS Owner President 616-878-1587 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 158150) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2020-08-22 |