| NPI | 1346828068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN M FRANKLIN Practice Administrator 248-851-1034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2021-04-01 |