| NPI | 1952813305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHA L PATEL Owner Dentist 313-399-9078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental (Licence: TX 27383) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2024-05-16 |