| NPI | 1356467708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ODEESH Presedent 248-594-9592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: MI 16825) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |