| NPI | 1891730487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J MILLER Owner 810-687-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 016386) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2007-11-01 |