| NPI | 1255766291 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | THOMAS PAUL WARNER President 248-656-8800 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 14479) | 
| Enumeration Date | 2013-09-10 | 
| Last Update Date | 2013-09-10 |