| NPI | 1386052991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY C KNORR President 586-242-5721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: MI 2901013088) |
| Enumeration Date | 2014-07-27 |
| Last Update Date | 2022-09-05 |