| NPI | 1326422734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA L PALMER Owner 517-393-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901019178) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2020-09-22 |