| NPI | 1548551617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD J SABOURIN Dentist/Owner 989-792-8315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 18261) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2018-05-10 |