| NPI | 1740290949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT I. STROCKIS President 810-359-2629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901010369) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |