| NPI | 1063660348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUHAIL MATI Dentist 248-594-9592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901018720) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |