| NPI | 1558762468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LOUISE LENARD BEM Director 313-327-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 17655) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |