| NPI | 1235389966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A. SHORTT Owner 248-437-8189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 14480) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |