| NPI | 1922268465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN S. BONE President 989-799-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 146940) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |