| NPI | 1467474320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE LOUISE MAROSSY Owner 586-773-9840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901018072) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2008-01-14 |