| NPI | 1790791960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINSTON CO President 313-561-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 00015670) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |