| NPI | 1942496278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANDREW LASZLO Dentist 248-674-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901014428) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2024-06-21 |