| NPI | 1578192712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAD RABBAN Dentist/Owner 586-416-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| 1223G0001X Dentist General Practice | |
| 1223P0106X Dentist Oral and Maxillofacial Pathology | |
| 1223P0300X Dentist Periodontics | |
| 1223P0700X Dentist Prosthodontics | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| 122400000X Denturist | |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |