| NPI | 1639369358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORSON P CARDON Owner, President 517-787-0417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI OC016653) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2013-01-02 |