| NPI | 1396812996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERWIN CRAWFORD Dentist 517-484-0329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 17768) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 12959) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-09-17 |