| NPI | 1265694459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN JASON BECHTEL Owner 517-882-7132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 17632) |
| Enumeration Date | 2008-06-28 |
| Last Update Date | 2008-06-28 |