| NPI | 1861998353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVIA CARTER Office Manager 989-631-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MI 011016) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-06-16 |