| NPI | 1760586408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOAH ROBERT LEVI Dentist 248-569-6304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 14188) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |