| NPI | 1003183757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBRAHIM A AL-MUNIF Owner 734-421-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901020171) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |