| NPI | 1427103969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C SECORD Orthodontist 313-884-9585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 2901010921) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |