| NPI | 1861871477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ALDEN FLORKOWSKI Owner 734-522-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901014764) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |