| NPI | 1407974710 |
|---|---|
| Former Legal Business Name | FIVE MACS PROPERTIES LLC |
| Entity Type | Organization |
| Authorized Contact | MARK ANDREW COOKS Dentist Owner 734-434-9815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2011-09-28 |