| NPI | 1033509013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRUCE HUTCHESON Dentist 517-485-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MI 2901010142) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |