| NPI | 1336543990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS C. SALON Owner/CEO/Dentist 231-943-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901016153) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2015-03-18 |