| NPI | 1609011311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT RAYMOND SMITH President 517-265-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: 12556) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2024-06-17 |