| NPI | 1073994406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE L. UPPLEGER Dentist 248-792-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901021577) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |