| NPI | 1003280371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EHSAN JAVIDAN NEJAD Manager 313-529-2404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 27429) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-11-23 |