NPI | 1740676451 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT G HUBBARD Co Owner 248-853-9400 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MI 12903) |
Additional Taxonomies | 122300000X Dentist (Licence: MI 20209) |
Enumeration Date | 2015-04-09 |
Last Update Date | 2015-04-09 |