| NPI | 1164506135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET A ZARB Accounts Receivable Insurance M Gr 734-420-2326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MI 12363) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 18376) |
| 1223G0001X Dentist, General Practice (Licence: MI 9839) | |
| 1223G0001X Dentist, General Practice (Licence: MI 8396) | |
| 1223G0001X Dentist, General Practice (Licence: MI 10260) | |
| 1223G0001X Dentist, General Practice (Licence: MI 11810) | |
| 1223P0300X Dentist, Periodontics (Licence: MI 15827) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI 16429) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |