NPI | 1326594250 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERYL ANN POMERANCE Dds/Owner 734-429-7460 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MI 2901012548) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MI 02901012548) |
Enumeration Date | 2016-08-31 |
Last Update Date | 2016-08-31 |