| NPI | 1275630923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A. LUCAS President 810-691-2268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901013084) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2023-03-07 |