| NPI | 1578773792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONG MIN YUN President 517-347-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 29101017212) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |