| NPI | 1386185445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAIRUNNISA QURAISHI Dds Pc 586-978-2042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |