| NPI | 1548688609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE HARPHAM Pediatric Dentist 989-415-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 8196) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |