| NPI | 1801441886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH D CRANSTON Owner 248-860-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2021-09-29 |