| NPI | 1306068390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK STEPHEN HUNTER Owner 734-282-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |