| NPI | 1053646513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L TAR Dental Director 734-994-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 11637) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2009-10-16 |