| NPI | 1902397797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD J SABOURIN Owner 989-792-8892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 18261) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-10-04 |