| NPI | 1720697063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARCHANA DHAWAN Orthodontist 248-824-3097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |