| NPI | 1043349848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALLEN DULUDE Dentist 989-835-7842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901014397) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2014-08-25 |