| NPI | 1528797636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES W MUNK Orthodontist/Owner 248-635-6306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-06-06 |