| NPI | 1831362888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DAVID MADORSKY Partner 248-642-8130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901010700) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |