| NPI | 1265716724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD MIKULA Owner 734-427-9871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 14444) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |