| NPI | 1326260944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS GRAY President 517-676-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901010128) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |