| 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 | 2019-08-21 |