| NPI | 1194148387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYTHAM A FARES Owner/ Presiden 734-728-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 17022) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |