| NPI | 1033383716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY WAYNE STINES President 313-388-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 11350) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |