NPI | 1437892940 |
---|---|
Entity Type | Organization |
Authorized Contact | DAWLAT HASSO Business Owner 734-241-6166 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-04-14 |
Last Update Date | 2022-04-14 |