| NPI | 1538277215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE KRACHIE Business Staff 517-851-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 14371) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |