| NPI | 1932540366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C JOHN Surgeon 248-969-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI 17024) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |