| NPI | 1649595232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADI GEORGE KEYORKGY Owner 586-566-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901016598) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |