| NPI | 1962116418 |
|---|---|
| Doing Business As | BALDWIN LAKE DENTAL PC |
| Entity Type | Organization |
| Authorized Contact | MARK LEVIN Dentist 616-754-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |