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 |