| NPI | 1710127188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK F MOORES Oral And Maxillofacial Surgeon 734-427-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI JM16423) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |