| NPI | 1174580351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALLEN HYLAND Owner/President 989-793-0899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 014534) |
| Enumeration Date | 2006-04-30 |
| Last Update Date | 2015-09-28 |