| NPI | 1063845295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE MICHAEL SPILLANE Owner 248-344-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 14748) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |