| NPI | 1518930932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS C. SALON CEO 231-935-1599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901016153) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-08-22 |