| NPI | 1245753342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HADI DAIA President 248-652-1244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MI 2901021680) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2022-07-21 |