| NPI | 1174751507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL W. CLANCY Owner 248-349-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901011377) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-24 |