| 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 |