| Organization Name: | MASRI CLINIC FOR LASER & COSMETIC |
| NPI Number: | 1083721161 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FATINA MASRI (OWNER) |
| Mailing Address: | 13530 Michigan Avenue Suite 150 Dearborn |
| State: | MI US |
| Postal Code: | 48126 |
| Phone Number: | 3139459800 |
| Fax Number: | 3139459184 |
| NPI Enumeration Date: | 08/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4301053444 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |