| NPI | 1568907152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REKHA MADHURI PALLI General Dentist 248-756-7258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901020008) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |