| NPI | 1811942832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LIEBERMAN President 248-682-6883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 8183) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-08-22 |