| NPI | 1215210232 |
|---|---|
| Former Legal Business Name | DEARBORN DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | NADER BAYDOUN Owner 313-584-3210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901018884) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2012-12-10 |