| NPI | 1043984834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZADEH ESLAMI Orthodontist And Periodontist 810-333-3930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-08-04 |