| NPI | 1053800292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MASI Dentist 586-285-5758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901015534) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |