| 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 |