| NPI | 1649827999 | 
|---|---|
| Doing Business As | INTEGRATIVE ORAL MEDICINE | 
| Entity Type | Organization | 
| Authorized Contact | JACQUIE ANN GERBLICK Director Of Operations 248-642-1000  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 122300000X Dentist | 
| Enumeration Date | 2019-08-21 | 
| Last Update Date | 2025-03-10 |