| NPI | 1518693795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNGJOO OH LEE President 313-731-2875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2025-05-01 |