| NPI | 1770516528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN EARL HOLLISTER President Owner 989-725-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901014933) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |