| NPI | 1891964656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL STEPHEN BUSCH President 269-381-3890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 8558) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |