NPI | 1669515482 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY A HIRSCHMAN President 248-668-9103 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MI 2901017445) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2007-09-26 |