| NPI | 1558630889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTOPHER HAVENS Orthodontist 586-752-3504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 2901019327) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2022-06-20 |