| NPI | 1891157053 | 
|---|---|
| Doing Business As | DENTAL SPOT | 
| Entity Type | Organization | 
| Authorized Contact | NAHLA WADIE Owner 248-539-7781 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901016611) | 
| Additional Taxonomies | 122300000X Dentist (Licence: MI 16611) | 
| Enumeration Date | 2016-03-25 | 
| Last Update Date | 2016-03-25 |