| NPI | 1851788939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASEM AL-TAANI Md/Owner 734-495-9460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901018142) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |