| NPI | 1659816585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN AUSTIN Dentist 810-733-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 17650) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MI 26052) |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2017-01-19 |