| NPI | 1194182535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN S OUEIS President 313-404-1061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MI 2901019369) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |