| NPI | 1750822748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIRAN S. RAOUF President 248-338-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901018555) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |