| NPI | 1427457191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY E KASPER Owner 586-914-0093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: MI 2901017390) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-10-27 |