| NPI | 1568485993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EMMANUEL MARTIN President 734-856-5022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901014635) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |