| NPI | 1548604739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHARLES REINDL Owner 251-660-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 3964) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |