| NPI | 1427327519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTPHER GEORGE JAGHAB Owner 248-855-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901018429) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |