| NPI | 1982626966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL VANDER BEEK Dentist 248-682-9653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 01367) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-04-23 |