| NPI | 1285226605 |
|---|---|
| Doing Business As | NOVI RECONSTRUCTIVE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ABDUL GHANI FAHD MOHAMMED President 248-795-8071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |