| NPI | 1649369356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W ORIORDAN Owner Dentist 586-754-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MI 15463) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MI 10466) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 08056) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |