| NPI | 1184096521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L CARPENTER Sole Member 517-789-8622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 11275) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |