| NPI | 1265047641 |
|---|---|
| Former Legal Business Name | LIVONIA COSMETIC DENTAL |
| Entity Type | Organization |
| Authorized Contact | ABDUL SHAKFA General 734-427-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |