| NPI | 1851870265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD J SABOURIN Dentist/Owner 989-792-8315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 18261) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2020-10-07 |