| NPI | 1699975862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE ELIZABETH GRANT Vice President 989-426-6581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901018865) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |