| NPI | 1124098918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DEVER HATCH President 734-995-5791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901010431) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2013-03-12 |