| NPI | 1356502199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER T GORECKI Dentist 586-751-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 15604) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 15707) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |