| NPI | 1104482439 |
|---|---|
| Former Legal Business Name | CHILDREN'S DENTAL CARE OF DETROIT |
| Entity Type | Organization |
| Authorized Contact | HASSAN OUEIS Owner 313-262-6059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2021-01-05 |