| NPI | 1003363516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE JAFFE General Dentist 248-374-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 20093) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |