| NPI | 1780755751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR AARON SONNEBORN Owner 269-979-9329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 014300) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-18 |