| NPI | 1306277363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JAMEEL KAKOS President 248-855-4143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901018996) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |