| NPI | 1962692988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE J JOSEPH Dr. 313-521-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 12348) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |