| NPI | 1831348051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY L BRANHAM President 248-474-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901019601) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2022-06-08 |