| NPI | 1053731695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY SCHLUCKEBIER Owner Dentist 989-875-4721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 016837) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |