| NPI | 1902430275 |
|---|---|
| Doing Business As | DISTINCTIVE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JENEEN M MARTIN Owner 906-774-2505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |