NPI | 1083448708 |
---|---|
Doing Business As | BOULEVARD DENTAL ARLINGTON |
Entity Type | Organization |
Authorized Contact | DONGHYUN KIM Manager 517-896-3701 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2024-08-27 |
Last Update Date | 2024-08-27 |