NPI | 1801291315 |
---|---|
Entity Type | Organization |
Authorized Contact | MERIDITH L HALL Member 734-930-4022 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MI 2901017411) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301096549) |
Enumeration Date | 2014-10-27 |
Last Update Date | 2014-10-27 |