| NPI | 1922311588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCINE PARKS Office Manager 248-577-1300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 10959) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2010-07-23 |