| NPI | 1972060903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZLI ASRAR Dentist/ Owner 734-484-4710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2022-08-23 |