| NPI | 1558971408 |
|---|---|
| Doing Business As | MID MICHIGAN GENTLE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JASON LEE LEZELL CEO 517-543-7991 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2023-11-27 |