NPI | 1992802268 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH A. ROSSI President 616-656-5776 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 13853) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |