| NPI | 1447477666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONN G. KIPKA President 906-228-7087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901010445) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |