| NPI | 1093146342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS A WHITESMAN President 734-709-1363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019026746) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |