| NPI | 1265697999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY J STAHLE Owner/Dentist 517-784-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 17334) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |