| NPI | 1114612223 |
|---|---|
| Doing Business As | CYPRESS TOWNE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARINA SIDDIQI Dentist/Owner 248-802-9778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-04-06 |