| NPI | 1508069907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L LENARD Office Manager 586-949-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901017682) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |