| NPI | 1427417781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJIV B SHEKHADIYA Owner 248-275-3292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 30698) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |