| NPI | 1760642201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES LIONEL FOSTER CEO 248-635-6449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 53412) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2015-01-26 |