| NPI | 1447427885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAHAL MAZHARI Secretary 810-629-7682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MI 2901017343) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |