| NPI | 1083729370 |
|---|---|
| Doing Business As | HURON DENTAL |
| Entity Type | Organization |
| Authorized Contact | RANDA JUNDI-SAMMAN President Dentist 810-984-2742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901016445) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901008328) |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2022-07-21 |