| NPI | 1932567906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ROCCO BIELKIE President 586-412-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MI 2901015810) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |