| NPI | 1962069005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK HOLECEK President 248-912-7616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2021-01-06 |