| NPI | 1790282895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK HOLECEK President 248-844-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MI 2901012502) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901012502) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-12-10 |