NPI | 1033826086 |
---|---|
Doing Business As | KERRY FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | KELLY KLYNSTRA Office Manager 734-995-0515 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-10-31 |
Last Update Date | 2022-10-31 |