NPI | 1851323075 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK T WARANOWICZ President 248-349-7900 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: MI MI14292) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2020-08-22 |