| NPI | 1336745975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY JAMIESON President 906-228-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2021-01-12 |