| NPI | 1871971697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ALLAN WATTERSON Dentist Owner 517-782-1467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901017509) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |