| NPI | 1477911832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNA MARIE MCGETTRICK President 248-354-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901020026) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |