| NPI | 1538458286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN RODRIGUEZ Owner 231-563-6878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 015703) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2021-02-03 |