| NPI | 1265859565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY HARTRICK Owner/Dentist 248-549-0950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 12800) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: MI 12800) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2016-09-15 |