| NPI | 1831357466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A, MARLA GERARD President 313-565-0922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 014865) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |