| NPI | 1972806420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVERIL ELIZABETH MEARNIC Owner 810-227-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901018916) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |