| NPI | 1801007745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAYLA R YOUSIF Dentist 586-737-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI L977582) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-10-25 |