| NPI | 1740546613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISLAM NAEM President 313-506-0795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019028042) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |