| NPI | 1003065343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M SMITH General Dentist 231-780-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901015068) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |