| NPI | 1770752925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FREDERICK SILVERSTON Partner 810-227-7427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 9095) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 10031) |
| 122300000X Dentist (Licence: MI 14883) | |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |