| NPI | 1033206255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA FLOYD Owner 810-742-4320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901012801) |
| Enumeration Date | 2006-10-08 |
| Last Update Date | 2020-08-22 |