| NPI | 1356156954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDETTE MUNYABERA Dentist/Owner 269-267-8033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |