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 |