| NPI | 1083216436 |
|---|---|
| Former Legal Business Name | BRIAN R. FISHER |
| Other Name | DENTURE CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY T QUINTER Office Manager 231-941-1898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2020-11-11 |