| NPI | 1376712968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN P VALLERAND Surgeon 248-478-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI WV017431) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-28 |