| NPI | 1891176210 |
|---|---|
| Doing Business As | GREAT LAKES BAY HEALTH CENTERS SHIAWASSEE DENTAL |
| Entity Type | Organization |
| Authorized Contact | LISA GALONSKA Vice President 989-729-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2016-09-26 |