| NPI | 1154538569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM GERSHONOWICZ Owner 586-247-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 11295) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |