| NPI | 1720280233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZOLTON CAMPBELL Dentist 734-485-0815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 015814) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |