| NPI | 1396756615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SCOTT MEYER Dentist 810-385-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 16735) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 16113) |
| 122300000X Dentist (Licence: MI 15282) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |