| NPI | 1255484747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD IRWIN SHAPIRO President 248-661-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 10518) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |