| NPI | 1235253956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME STEPHEN MEHLER Dentist Owner 248-348-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 10703) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2009-07-23 |