| NPI | 1003308511 |
|---|---|
| Doing Business As | BLOSSOM PEDIATRIC DENTISTRY & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A BARBER President 734-971-3368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MI 2901020165) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 2901019552) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2021-05-11 |