| NPI | 1598187668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LAWRENCE FLETCHER President 734-217-4370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901020144) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901017652) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-01-09 |