| NPI | 1619322526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C LESNESKI Owner 734-934-3420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2020-07-20 |