| NPI | 1659885242 |
|---|---|
| Other Name | GREATER MICHIGAN DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | TARA LEAVELL Office Manager 269-963-7767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 016741) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |