| NPI | 1164963401 |
|---|---|
| Doing Business As | SMILE FRESH DENTAL |
| Entity Type | Organization |
| Authorized Contact | FAUZI MOHAMMED RAZIUDDIN Office Manager 248-895-6987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901021727) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |