| NPI | 1174516413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT V BENIVEGNA Doctor Owner Vice President 517-337-9759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2024-06-25 |