| NPI | 1104403401 |
|---|---|
| Doing Business As | MOUNTFORD AND RUSZKOWSKI FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL MOUNTFORD Owner/Dentist 313-575-1876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-03-26 |