| NPI | 1902070311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT LEVERENZ President 586-773-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 13171) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |