| NPI | 1588928113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC L DWOSKIN DDS Owner 248-626-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MI 9934) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |