| NPI | 1104030766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL J KANER President 734-261-4320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 7866) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |