NPI | 1194978072 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD J MACAFEE Dentist 313-535-5050 |
Organization Subpart ? | No |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: MI 290101411) |
Enumeration Date | 2008-10-23 |
Last Update Date | 2010-05-12 |