| NPI | 1942660857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J PAULSON Owner 248-553-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901019235) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-07-28 |