| NPI | 1457772261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FLEWELLING Owner 269-683-4180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901020888) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |