| NPI | 1568530442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILLIAN EDWARDS President 989-755-0991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 14398) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2010-07-01 |