| NPI | 1245942697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P THOMAS Owner 248-941-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| 261QD0000X Clinic/Center Dental | |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2022-12-16 |