| NPI | 1689811788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEENA M BAHU Owner 248-318-7614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901017893) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2024-08-30 |