| NPI | 1225347081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL K. BOGROW President Owner 248-827-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI L1376041) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: MI L1376041) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2023-09-25 |