| NPI | 1467612366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWLAT HASSO Dentist 248-379-3093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901017711) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2014-09-15 |