| NPI | 1023410974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS RANDALL STERNER Dentist/Owner 734-449-2081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901019294) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |