| NPI | 1386702835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH R SMULSKY Dentist 734-453-0940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 9199) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |