| NPI | 1922617810 |
|---|---|
| Doing Business As | KEEP MI SMILE |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HOLMES Regional Manager 269-651-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-08-04 |