| NPI | 1588908917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY B MAXWELL Pediatric Dentist/Owner 248-478-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MI 2901019817) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2024-01-04 |