| NPI | 1316084379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD R KACY Dentist 248-879-2980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901011072) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901017998) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2014-04-02 |