| NPI | 1972777514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN H COHEN President 313-562-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: MI 4301069256) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |