| NPI | 1740237833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BERKMAN Practice Owner 248-360-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-02-21 |