| NPI | 1598156051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENI CALLIS President 734-783-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901017751) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |