| NPI | 1649678483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY KAY MELEGARI Owner 586-863-1336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MI 5315020321) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |