| NPI | 1215308655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN OUEIS President 313-404-1061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901019369) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |