| NPI | 1255398012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI DIANE CALLEJA Dentist/Owner 248-363-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901015865) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-08-22 |