| NPI | 1205945573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DUNCAN MCLAREN President 989-631-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901018086) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901018085) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |