| NPI | 1386919660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GEORGE BETTMAN Owner/Dentist 517-485-1769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901013418) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |