| NPI | 1821103557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS THOMAS RAFAILL Orthodontist Owner Of Organization 586-247-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MI 2901010466) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MI 290105463) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 2901016261) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |