| NPI | 1346610268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT P DIPILLA Managing Member 248-646-0442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901015400) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |