| NPI | 1598034829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LOUIS KRIEG Orthodontist 586-772-6090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |