| NPI | 1548208010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN V. GAUL President 248-547-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: MI 2901009537) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-12-18 |