| NPI | 1255583910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOSEPH GADIOLI President 586-739-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901017931) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901016765) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |