| NPI | 1144457672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN JARVIS SEYMOUR Dentist 231-775-6531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 29010-19403) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |