| 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 |