| NPI | 1639646680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MYERS Pediatric Dentist/President 734-353-0069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2019-01-08 |