| NPI | 1669839130 |
|---|---|
| Doing Business As | PETOSKEY PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JANE STIEBER AMATO Owner 231-347-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901021260) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2024-10-18 |