| NPI | 1457929473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOSEPH FRONCZAK Dentist/ Owner 313-515-0465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-06-15 |