| NPI | 1811233695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN D FIELDS Dentist 313-647-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.027779) |
| Enumeration Date | 2012-12-22 |
| Last Update Date | 2012-12-22 |