| NPI | 1801923172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHROD MAGSOUDI President 586-752-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 15762) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-06-17 |