NPI | 1467616292 |
---|---|
Entity Type | Organization |
Authorized Contact | DANISSA DAVID Office Manager 313-843-4003 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 018429) |
Enumeration Date | 2008-07-10 |
Last Update Date | 2008-07-10 |