| NPI | 1316016561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY RAYMOND SCHMAKEL Owner 248-642-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI 16953) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-12-31 |