| NPI | 1710438601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA WILLIAMS-CONERLY Owner 989-714-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 14126) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |