| NPI | 1093023442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN REGINALD MARSH Dentist 734-482-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 16618) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |