| NPI | 1003416140 |
|---|---|
| Doing Business As | FENTON DENTAL |
| Entity Type | Organization |
| Authorized Contact | LISA DIANE BAIER Dentist 810-444-6069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |