| NPI | 1023122751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E SIMONY Dentist 586-263-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 16119) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2008-06-19 |