| NPI | 1306994777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONEI RODOLFO IACOBELLE President 248-625-2515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 12807) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |