| NPI | 1619100286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD MAALHAGH-FARD Member 248-553-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MI 017104) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2009-08-31 |