| NPI | 1720216724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASMA ABDULRAZZAK Dentist 810-247-0921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901019158) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-08-31 |