| NPI | 1346015336 |
|---|---|
| Doing Business As | SMILE FRESH DENTAL |
| Entity Type | Organization |
| Authorized Contact | FAUZI RAZIUDDIN Manager 248-906-8805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |