| NPI | 1033553086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAJELLA CAVEN-NWAGWU Dentist 248-366-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901019698) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |