NPI | 1396240354 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER SUZANNE CHASSE Insurance Coordinator 248-219-7722 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 273504940) |
Enumeration Date | 2018-03-29 |
Last Update Date | 2018-03-29 |