| NPI | 1902293905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY S SALZBERG-SIEGEL Owner 586-416-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901013815) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |