| NPI | 1932450483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH L COLON President 586-773-9660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901019419) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |