| NPI | 1225099716 |
|---|---|
| Doing Business As | BAD AXE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL T BILLS Member 989-269-9704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: 2901017989) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MI B8597G) |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2008-07-21 |