| NPI | 1023257961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CLAUDINE DZIURGOT Owner Dentist 586-297-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901017102) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2015-05-26 |