| NPI | 1821121765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY J LOEWEN President Owner 248-474-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 10559) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |