| NPI | 1467999664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRIN FAKHRI Dentist 248-879-4565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901017930) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |