| NPI | 1851621338 |
|---|---|
| Doing Business As | GREAT LAKES BAY HEALTH CENTERS ST.VINCENT DENTAL |
| Entity Type | Organization |
| Authorized Contact | LISA GALONSKA Vice President 989-759-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2016-09-27 |