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 |