| NPI | 1083015317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILO MACHADO Owner/Dentist 586-293-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 20116) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |