| NPI | 1285850677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND PETER MALY President 248-347-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 14108) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-06-01 |