| NPI | 1992762454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADER BAZZI President 734-455-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901017182) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-08-22 |