| NPI | 1093442048 |
|---|---|
| Doing Business As | MAPLE GROVE PERIODONTICS AND IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | YUN WANG President 517-648-3576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2022-09-07 |