| NPI | 1275640369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN M DAVIS Billing Dept./Accounts 810-632-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2022-07-21 |