| NPI | 1306901962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE A LOVE Periodontist 810-220-2789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MI 012655) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2008-12-03 |