| NPI | 1124636733 |
|---|---|
| Doing Business As | EAST BROOKE DENTAL |
| Entity Type | Organization |
| Authorized Contact | STEPHEN JAMES JARVIE President 248-449-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |