| NPI | 1932800802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILLIAMS Owner 313-530-7096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2023-03-27 |