| NPI | 1235273152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J RUSKIN President 248-553-3280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-09-19 |