| NPI | 1891074217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA DARIAN D. D. S. 248-932-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MI 14064) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |