NPI | 1932387040 |
---|---|
Former Legal Business Name | BRIAN BAILEY DDS |
Entity Type | Organization |
Authorized Contact | BRIAN E BAILEY President 989-631-6075 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MI 2901014377) |
Enumeration Date | 2008-01-31 |
Last Update Date | 2008-01-31 |