| NPI | 1386818847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA J HIBBELN Owner/ Dentist 248-608-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 16449) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MI 16451) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |