| NPI | 1164537890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGLA SUZANNE DEKOCK Owner/Presidnet 248-625-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MI 2901017939) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |