| NPI | 1255505137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES GODFREY NORMAN President 989-725-9855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901017520) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |