| NPI | 1518088269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY A ADER Office Manager 989-755-0991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901007654) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |