| NPI | 1760650972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY NEAL KREBILL Owner 269-323-9554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 11322) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |