NPI | 1275740912 |
---|---|
Entity Type | Organization |
Authorized Contact | CLEMENT V ADAMS Orthodontist 810-732-4800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 2901016465) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-08-22 |