| NPI | 1457327942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI LEE JONES Insurance Coordinator 810-732-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI D012116) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2020-08-22 |