| NPI | 1841607231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDETTE MUNYABERA Pediatric Dentist 269-267-8033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12011737A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12011737A) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |