| NPI | 1548411143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FANGBIN SUN Owner 810-232-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 29010-16636) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |