| NPI | 1194675223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C. LESNESKI Doctor/CEO 989-892-9341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2026-01-29 |
| Last Update Date | 2026-01-29 |