| NPI | 1841387107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN ANTHONY VICTOR President 586-775-3312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |