| NPI | 1891864682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYN C YOUNG President 734-522-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 014485) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 013163) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2014-11-10 |