| NPI | 1013211093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIAS J ACHEY Owner 231-739-5105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901019459) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2014-07-17 |