| NPI | 1285885459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY HAMLIN Owner 269-385-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI 2901018467) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |