| NPI | 1679777171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIRISHA NEMALLAPUDI Dentist 248-813-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901017598) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-09-17 |