| NPI | 1740303536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A WENTURINE Dentist President 586-465-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901014271) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |