| NPI | 1942518154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN L JOHNSON Pediatric Dentist, Owner 616-485-6911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE60058099) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |