| NPI | 1558604454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN HELMORE Office Manager 248-656-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MI 13527) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-03-29 |