| NPI | 1841337516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R CABELL President 810-632-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 12460) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |