| NPI | 1114045259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A. MILLER President 313-561-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI 011469) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-09-28 |