| NPI | 1053838441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC H SALAH President/Owner 586-775-3312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |