NPI | 1639413933 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA HYDE Manager 313-863-2800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: MI 2901007381) |
Enumeration Date | 2012-11-27 |
Last Update Date | 2013-02-07 |