| NPI | 1639546252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ERIK RICHARD BURKE Dentist 231-735-3715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901021670) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2016-10-07 |