| NPI | 1295728822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A. FARLOW Owner 248-437-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 013141) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2020-08-22 |