NPI | 1417439696 |
---|---|
Entity Type | Organization |
Authorized Contact | DAWN DIESING PERRETT Owner 248-851-6446 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901014703) |
Enumeration Date | 2018-09-04 |
Last Update Date | 2018-09-04 |