| NPI | 1952439218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMY G MICHAEL Dentist 616-457-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 08282) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |