NPI | 1134611122 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAD WILLIAM BARBER President/Owner 734-453-8650 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901016770) |
Enumeration Date | 2018-06-05 |
Last Update Date | 2018-06-16 |