| NPI | 1659545580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D BERMAN President 586-263-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 12453) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |