| NPI | 1225647514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE E MESH Pres./CEO 810-750-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-28 |