NPI | 1962665521 |
---|---|
Entity Type | Organization |
Authorized Contact | GUS KALOTI President 586-727-5898 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901017451) |
Enumeration Date | 2008-07-03 |
Last Update Date | 2008-09-23 |