| NPI | 1760869713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE DENISE VAKULA-ROLLINS Owner/Dentist 810-653-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901017477) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |