| NPI | 1083780464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PATRICK SCHAEFER Chief Financial Officer 517-321-1848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |