| NPI | 1265667398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAUL SHARP Owner 269-344-4004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 12845) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |