| NPI | 1386005551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD SANDERS Dentist 248-569-6629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901014011) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |