| NPI | 1871096404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONISHA CHADDA Dentist 248-703-6287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901021303) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |