| NPI | 1174880736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JAFFE Dentist 248-672-0425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901020093) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |