NPI | 1184770828 |
---|---|
Doing Business As | DENTISTS ON MAIN, P.C. |
Entity Type | Organization |
Authorized Contact | STEVEN C REYNOLDS President 248-652-1010 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-01-26 |
Last Update Date | 2008-06-16 |