| NPI | 1851584502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JAMES HAGERTY Dentist, Owner 517-886-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 09235) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |