| NPI | 1962518183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL DANIELS Orthodontist 810-229-2776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 014293) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-08-21 |