| NPI | 1023818044 |
|---|---|
| Doing Business As | CORNELIUS PASS DENTAL EXCELLENCE |
| Entity Type | Organization |
| Authorized Contact | HETALBAHEN P TRIVEDI Member 313-505-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-18 |