| NPI | 1619191178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA BECKERMEYER Business Manager 269-683-6461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 16779) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |