| NPI | 1043864119 |
|---|---|
| Doing Business As | TLC FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SHAMMI V TANDEL President 734-620-2587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-07-27 |
| Last Update Date | 2019-07-27 |