| NPI | 1538313366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL C GULICK President/Owner 517-676-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 12796) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 12797) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |