| NPI | 1609988153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEAWON LUDIA KIM Secretary Treasurer Of Pc 734-761-3116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 2901012468) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 2901016885) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |