NPI | 1760971295 |
---|---|
Doing Business As | MYFASTBRACES |
Entity Type | Organization |
Authorized Contact | DONALD JOSEPH SABOURIN Owner/Dentist 989-792-8315 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 18261) |
Enumeration Date | 2018-05-10 |
Last Update Date | 2018-05-30 |