| NPI | 1073235339 |
|---|---|
| Doing Business As | CATHERINE G. WILCOX |
| Entity Type | Organization |
| Authorized Contact | CATHERINE G WILCOX Owner 269-986-0549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2023-02-09 |