| NPI | 1982877254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA FOSTER President 248-905-5490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901015234) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |