| NPI | 1518326610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL WILLIAMS Owner 313-873-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901011158) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |