| NPI | 1831642644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANA T HANNA Dentist/Owner 774-345-0835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901021688) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |