| NPI | 1659593036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIR FARAJ Dentist 248-348-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901019002) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2011-10-18 |