| NPI | 1124265483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD GORDON President 248-777-7547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 6803) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |