| NPI | 1265628291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ANN VENTURA Office Manager 586-749-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901011882) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2011-11-15 |