| NPI | 1265603757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANNE STINES President 517-552-9210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MI 2901009380) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |