| NPI | 1124452198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL S HAYDEN Owner/Dentist 989-754-2171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 17996) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |