| NPI | 1073790200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MARIE HIRTH Office Manager 586-775-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 015934) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |