| NPI | 1952762254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJIV K SHAH Owner 248-427-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901016090) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |