| NPI | 1518017789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA M ROGERS Pediatric Dentist 248-559-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MI 13198) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2016-04-12 |