| NPI | 1063530848 |
|---|---|
| Doing Business As | GREAT LAKES BAY HEALTH CENTERS DOWNTOWN DENTAL |
| Entity Type | Organization |
| Authorized Contact | LISA GALONSKA Vice President 989-759-6418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2022-12-15 |