| NPI | 1588800031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN A YORK Owner/Dentist 810-736-7324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 13848) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2009-01-22 |