| NPI | 1639519291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANEEL KAUR RANDHAWA Owner 586-226-0638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901019199) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |