NPI | 1760862635 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID ARTHUR KEMPEINEN President 810-923-5909 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901020401) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: MI 2901020402) |
Enumeration Date | 2015-06-04 |
Last Update Date | 2015-06-04 |