| NPI | 1811034036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN GEORGE THOMAS President 248-360-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901014197) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |