NPI | 1740206333 |
---|---|
Entity Type | Organization |
Authorized Contact | RICK REED DAYTON Owner 616-458-2545 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 014852) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2007-09-24 |