| NPI | 1265735633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY ROBINSON Adminstrator 313-584-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 292200000X Dental Laboratory (Licence: MI 2901011576) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |