| NPI | 1093264731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFECHIDE NWABUEZE Manager 248-217-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MI 2901020260) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2022-01-20 |