| NPI | 1326409707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVANA COSNER Dentist Owner 269-962-5774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901020830) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |