| NPI | 1003073263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JAMES MCCHESNEY President 248-674-4659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 10004) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |