NPI | 1871970178 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL MASHNI Owner/Dentist 248-686-6305 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MI 18210) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: MI 18210) |
Enumeration Date | 2015-05-06 |
Last Update Date | 2015-05-06 |