| NPI | 1700050622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY SUE FLURY Owner 734-453-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 02901015410) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |