| NPI | 1962467662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BOWMAN President 616-554-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 011270) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-08-22 |