| NPI | 1699153304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA SEYFRIED CEO 248-645-0780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-08-24 |