| NPI | 1568852382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER RYAN WALSH Owner 248-795-5131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901021075) |
| Enumeration Date | 2015-02-01 |
| Last Update Date | 2015-02-01 |