| NPI | 1285889709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KITRINA CORDELL Laboratory Director 734-647-8091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: MI 2901018465) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |