| NPI | 1851484885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE E GERAN Doctor 248-437-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |