| NPI | 1568760874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WILLIAM LANG Manager 586-709-6343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MI 2901018376) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |