| NPI | 1265765580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMY GABRIEL MICHAEL Owner 269-388-5832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901019040) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |