| NPI | 1699048249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M GOLDEN Owner 313-371-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901009940) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |