| NPI | 1336592252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATIN ASMER AWANIS General Dentist 248-219-5863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 126800000X Dental Assistant | |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |