| NPI | 1396878039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J NIERGARTH Owner 231-929-3606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 14121) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |