| NPI | 1295902302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MICHAEL DAVIDSON Dentist 586-207-6013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 292200000X Dental Laboratory (Licence: MI 2901017188) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |