| NPI | 1619411907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNILA PATEL SHANKAR Owner 734-326-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 18700) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |