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 |