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 |