| NPI | 1760689251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY F MCDONALD Owner 517-546-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 013576) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |