| NPI | 1023464955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA M. DAILEY Owner/Dentist 734-996-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 14495) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |