| NPI | 1821378621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE HAERIAN President/Owner 734-429-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |