| NPI | 1699889592 |
|---|---|
| Former Legal Business Name | ASSOCIATES IN FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER KENNEDY Office Manager 231-946-9644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901016997) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2019-10-23 |