| NPI | 1972983138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN M SLOAN Owner/Practitioner 734-668-8420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: MI 13315) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MI 20001) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |