| NPI | 1437557345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA J. HART Corporate Manager 810-625-2860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12012248A) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |