| NPI | 1679741904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN THOMAS MCINERNEY President 248-540-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MI 2901016606) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MI 2901017183) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |