| NPI | 1437456548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWYNNE ATTARIAN Owner 810-360-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901017918) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-02-25 |