| NPI | 1487196416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH WEST Owner/ Dentist 517-265-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 12345) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |