| NPI | 1730270521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL KAPLAN Owner/President 734-975-2810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901015329) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |