| 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 |