| NPI | 1588060727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY JONES Dentist/Partner 989-835-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901017333) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901015265) |
| 1223G0001X Dentist, General Practice (Licence: MI 2901019469) | |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |