| NPI | 1093122418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET LYNN MERRITT-BROOKS Dentist/Owner 313-610-4688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 54001789A) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |