| NPI | 1316410319 |
|---|---|
| Doing Business As | CONVENIENT FAMILY DENTISTRY GRAND BLANC |
| Entity Type | Organization |
| Authorized Contact | BRIAN S MYERS Co Owner 810-694-7450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-20 |