| NPI | 1275711376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS L PERKINS Dentist President 734-482-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MI 11612) |
| Additional Taxonomies | 122400000X Denturist |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-02-21 |