NPI | 1427595164 |
---|---|
Entity Type | Organization |
Authorized Contact | SERGIO MAURICIO MOELLER ZEVALLOS Dentist 734-662-7874 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MI 18235) |
Enumeration Date | 2017-01-19 |
Last Update Date | 2017-01-19 |