NPI | 1053328245 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES W. LEPCZYK President 248-642-2115 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: MI 11914) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2020-08-22 |