| NPI | 1306032511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD THOMAS MCDONALD Owner 248-333-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901007892) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |