| NPI | 1750746228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER DEAN CHENEY Owner/CEO 517-394-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901012577) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |