| NPI | 1376095273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD KULBERSH Department Of Orthodontics Chair 313-494-6731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |