| NPI | 1043321490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN D. BROWN Dentist 231-775-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 11423) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-05-15 |