| NPI | 1306314323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN C BROWN Sole Member 248-798-7708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-12-04 |