| NPI | 1790216315 |
|---|---|
| Doing Business As | CENTER FOR MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | YASSER ALALI Dentist/Owner 313-563-6601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MI 2901020729) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901021238) |
| 1223P0300X Dentist, Periodontics (Licence: MI 2901021098) | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |