| NPI | 1295075034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ANTHONY MASTROMATTEO President 248-693-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI JM008259) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-10-08 |