| NPI | 1134416340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARMAD CHANNO Owner/Dentist 248-589-9480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901018676) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2013-09-17 |