| NPI | 1942384292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ALLAN PATCHAK President 517-788-8340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 2901011397) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |