| NPI | 1285377085 |
|---|---|
| Doing Business As | SUMMIT HEIGHTS DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS LEE LAGOW Owner 517-937-2494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2022-04-19 |