| NPI | 1851639397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JOELSON Owner 248-594-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901020341) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |