| NPI | 1114478609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUCHIR PATEL President 734-709-3730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN014542) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |