| NPI | 1457068470 |
|---|---|
| Doing Business As | EVEREST ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | CAROLIN IBRAHIM Doctor 248-759-8831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-12-23 |