| NPI | 1598939910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY EBEJER Office Manager 734-677-2156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 17629) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |