NPI | 1538285150 |
---|---|
Doing Business As | POLYVIOU DENTAL |
Entity Type | Organization |
Authorized Contact | PAUL MICHAEL POLYVIOU President 313-388-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 16757) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2008-07-14 |