| NPI | 1386789758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH EARL CARPENTER President Chairman 734-662-6772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 9401) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-09-08 |