| NPI | 1417137852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUERGEN LAFRENZ Officer 586-412-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 11912) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |