| NPI | 1801906458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS J BOURNIAS President 586-228-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-01-17 |