| NPI | 1780841767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL KHOURY Member 248-969-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901018892) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |