| NPI | 1114138146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NNENNA NWANYIRIUBA EBODA Pediatric Dentist 810-230-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MI 2901017887) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |