| NPI | 1679633408 |
|---|---|
| Former Legal Business Name | NT MOISIDES & COOPER DDS PC |
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL COOPER Dentist 313-881-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 13729) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2013-01-28 |