| NPI | 1770036477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN OUEIS President 313-404-1061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MI 19369) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |