| NPI | 1699985598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHARLES BONADEO President 248-647-2109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901011889) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |