| NPI | 1881105484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAFA ZAKKOOM Dentist 248-824-4916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MA DN1856872) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |