| NPI | 1982041901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MARIE BUCKLIN Dentist 517-745-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901019767) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |