| NPI | 1932366457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE MORRELL Office Manager 734-425-4530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 11069) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |