| NPI | 1043650849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOSCO PUI-KI CHAN President 517-278-6077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901010055) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901020908) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |