| NPI | 1528796588 |
|---|---|
| Former Legal Business Name | SOLO PRACTICE |
| Entity Type | Organization |
| Authorized Contact | GARY J. MOSIO Dentist 313-881-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-08-09 |