| NPI | 1477951150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVAN S STERN Sole Member 248-559-0995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 12882) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MI 12882) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-19 |