| NPI | 1528074200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GERARD SELUK President 734-453-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901017082) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |