| NPI | 1679514046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REKHA MAHAJAN Owner 248-380-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 15671) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2021-03-25 |