| NPI | 1528803947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANJOO ELY Owner 248-347-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-06-27 |