| NPI | 1326291857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY LIN President 734-422-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 16491) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 18026) |
| 1223G0001X Dentist, General Practice (Licence: MI 17301) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |