| NPI | 1245408772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS NELSON DUPUIS Owner 734-947-3621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 11893) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-08-13 |