| NPI | 1003935982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE G. ANDREWS President 810-235-8831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 13538) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |