| NPI | 1801294103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE ELIZABETH HENKE Dds/Owner 734-971-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901017244) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |