| NPI | 1366826182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANEEL KAURR RANDHAWA Owner 586-226-0638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901019199) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |