| NPI | 1306019609 |
|---|---|
| Other Name | PLLC |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE W STEWART Owner/Dentist 313-837-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 017708) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |