| NPI | 1013216639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN SMITH Office Manager 248-399-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MI 2901019637) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |