| NPI | 1881718047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH E. WESTER Owner 269-327-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI D15368) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |