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 |