| NPI | 1881915486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN RODRIGUEZ Owner 734-475-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901018826) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2021-02-03 |