| NPI | 1881166429 |
|---|---|
| Doing Business As | EMERGENCY DENTAL |
| Entity Type | Organization |
| Authorized Contact | HENRY LYON President 269-428-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |