| NPI | 1740596857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J HYDE Physician/Owner 989-797-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI TH014309) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |