| NPI | 1063740108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD R. ESSAYAN Dds Orthodontist President 248-851-3767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901009679) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 2901009679) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2009-12-01 |