| NPI | 1245636802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKSHMI WAKADE Dentist 248-245-5461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.029652) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |