| NPI | 1982937454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEXTER KURT FLEMMING Owner 734-675-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI 2901017976) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |