| NPI | 1073725404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY I KASSEL President 810-733-8202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 12812) |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2020-08-22 |