| NPI | 1679900021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK J NOLAN Orthodontist 734-981-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 2901019085) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-01 |