| NPI | 1619194792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY M. WILLIAMS Doctor 248-879-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MI 10622) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-08-16 |