| NPI | 1184922122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI SHAABAN President 313-914-2595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901018367) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2012-10-13 |