| NPI | 1124299284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY A STERN Dentist 734-425-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MI 2901009379) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |