| NPI | 1801896923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MICHAEL WOLF President 586-755-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI 2901009207) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2008-04-08 |