| NPI | 1194861823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HENRY NORTH President 517-321-0924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 9369) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |