| NPI | 1558115485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMANI GOWDUCHERUVU Owner Oral And Maxillofacial Surgeo 248-914-1691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-16 |