| NPI | 1124230792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A HAMWAY Secretary 810-220-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MI 15851) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |