NPI | 1972750826 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCINDA K MICHELIN Practice Administration 231-933-1220 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: MI 2901013774) |
Enumeration Date | 2008-08-22 |
Last Update Date | 2008-08-22 |