NPI | 1558442202 |
---|---|
Entity Type | Organization |
Authorized Contact | PRITIDA TUSHAR PATEL Secretary 248-879-5858 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901015961) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901015929) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2008-01-31 |