| NPI | 1851751150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS VERALDI Dental Director 313-833-2895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MI 2901021771) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |