| NPI | 1245392307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A PARMENTER Owner 734-434-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 16759) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 11107) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI 16429) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |