| NPI | 1912320912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT NAKISHER Owner 248-363-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 8393) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 16085) |
| 1223G0001X Dentist, General Practice (Licence: MI 9918) | |
| 1223P0300X Dentist, Periodontics (Licence: MI 19162) | |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-01-27 |