| NPI | 1669438818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK T PETRUZZELLO Dentist 586-978-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901017505) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-08-22 |