NPI | 1144996786 |
---|---|
Entity Type | Organization |
Authorized Contact | GABRIELLE ZUZO Member 734-392-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2021-08-23 |
Last Update Date | 2022-01-06 |