| NPI | 1285813949 |
|---|---|
| Doing Business As | DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANNETTE URSULA JACKSON Dh Clinic Operations Supervisor 231-591-2284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2022-07-21 |