NPI | 1164820593 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTINA RENEE TREECE Office Manager 734-242-8885 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901011208) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901019934) |
1223G0001X Dentist, General Practice (Licence: MI 2901019893) | |
Enumeration Date | 2014-12-17 |
Last Update Date | 2014-12-17 |