| NPI | 1366987638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC H SALAH Doctor 734-981-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist Dental Public Health (Licence: MI 2901018508) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2020-03-21 |