NPI | 1962679076 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL JOHNSON Doctor/Owner 734-729-2366 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 13473) |
Enumeration Date | 2008-05-08 |
Last Update Date | 2008-05-08 |