| NPI | 1033845961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASANAIN ALANI Manager 586-823-2171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-07-25 |