| NPI | 1588681415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE ANN J. BARTNIK General Partner 248-370-9884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MI 2901013539) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2019-12-05 |