| NPI | 1962114157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON JOSEPH SANDERS Owner, General Dentist 269-266-2695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-19 |