| NPI | 1770507451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILBERT PURIFOY President 313-839-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 1593854) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |