| NPI | 1942622014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY EDWARD BAUMAN Dentist 269-983-1812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901020416) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-03-07 |