| NPI | 1023295474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MORRIS President 734-285-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI 2901012910) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-06-11 |