| NPI | 1497928493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED W IMAM Owner 313-581-0710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901015608) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |