| NPI | 1043581606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANPREET CHAHAL Owner 517-223-3779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 2901020130) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |