| NPI | 1780243683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNE ELIZABETH MEZO Owner Dentist 517-513-8070 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |