| NPI | 1154433522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD A BEYDOUN Dentist 313-843-6530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 16362) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |