| NPI | 1184993487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER ASKOLD DUTKO President 586-558-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901015160) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |