| NPI | 1497932263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WAKEFIELD MUNK Member 248-625-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 2901018292) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |