| NPI | 1407070535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SYDNEY MAUDLIN General Dentist 269-327-4473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 10702) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2010-11-04 |