NPI | 1114114857 |
---|---|
Doing Business As | CRANBROOK DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | DAVID GEORGE BANDA Dentist Owner 248-647-5434 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901014380) |
Enumeration Date | 2007-09-26 |
Last Update Date | 2015-04-10 |