| NPI | 1043443823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERMAN LAVELLE ALLEN President Owner 313-345-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901008068) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2021-04-13 |