NPI | 1972718872 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLAN JEFFREY OLEINICK President 586-776-5945 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901013562) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2020-08-22 |