NPI | 1104173962 |
---|---|
Entity Type | Organization |
Authorized Contact | COREY JAMES SCHUMER Owner/Dentist 248-227-5323 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 7955) |
Enumeration Date | 2012-08-11 |
Last Update Date | 2012-08-11 |