NPI | 1063531572 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN A. WILER President 269-323-3128 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 09572) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2020-08-22 |