| NPI | 1912157199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD M KHALIL President 810-720-0611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 17782) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: MI 17676) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |