| NPI | 1588899207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHARLES VUILLEMOT Owner 517-485-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 14161, 14147) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |