| NPI | 1861729261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER TIMOTHY BLISS President 248-344-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI D166720) |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2009-11-06 |