| NPI | 1457523714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B FELSENFELD President 313-562-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: MI 2901013449) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2010-05-05 |