| NPI | 1831429653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOLIS THANASAS Owner 734-626-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901017525) |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2009-12-29 |