| NPI | 1386056562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY A VOGL Member 989-666-4239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901020340) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |