| NPI | 1093350621 |
|---|---|
| Doing Business As | EXCEPTIONAL DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KELLIE BLACK Regional Manager 517-812-9931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |