NPI | 1952316820 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN A. NESBITT Dentist 269-968-9923 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 10168) |
Enumeration Date | 2006-07-29 |
Last Update Date | 2020-08-22 |