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 |