| NPI | 1306111521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MALAK ASSAD Dentist 586-751-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901020415) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |