| NPI | 1659596195 |
|---|---|
| Former Legal Business Name | MICHAEL E.JOSTOCK D.D.S. P.C. |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ERICH JOSTOCK President 586-978-8233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI D11071) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-10-02 |