| NPI | 1427248855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH DEHAAN Owner/Operator 248-391-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 13732) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |