| NPI | 1568638609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART L DAVIDSON Owner 586-573-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901007790) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-07-01 |