| NPI | 1811066129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE M WINDISCH Billing Specialist 586-755-9340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2009-09-14 |