| NPI | 1275830416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ROBERT RODRIGUEZ Owner 734-751-5106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 015703) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2021-02-03 |