| NPI | 1215181334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOUFIDA KHALIFE Doctor 734-459-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901019252) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |