| NPI | 1144368028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY MICHAEL BERMAN VP 734-697-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-09-13 |