| NPI | 1073372058 |
|---|---|
| Former Legal Business Name | PARK DENTAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | ABDUL GHANI FAHD FAHD MOHAMMED Owner/Dentist 248-795-8071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-03-13 |