| NPI | 1104376771 |
|---|---|
| Doing Business As | DETROIT DENTAL SPECIALTY CENTER |
| Entity Type | Organization |
| Authorized Contact | DARNELL KAIGLER President 313-936-0819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MI 2901018534) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901017652) |
| 1223E0200X Dentist, Endodontics (Licence: MI 2901018329) | |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |