| NPI | 1649889387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA MARIA MCEACHERN Insurance Specialist 248-929-8096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |