| NPI | 1437042611 |
|---|---|
| Other Name | PA 161 PROGRAM |
| Entity Type | Organization |
| Authorized Contact | TAISIR SAIF-SALEH ALI Registered Dental Hygienist 313-444-0028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |