| NPI | 1912317868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY BURNS Dental Hygienist 269-217-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: MI 2902014714) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |