| NPI | 1811358831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI THOMAS General Dental Director 313-263-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901017876) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |