| NPI | 1205110293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JI KIM Owner/Dentist 313-531-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901019035) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |