| NPI | 1124807227 |
|---|---|
| Doing Business As | THE VILLAGE DENTIST |
| Entity Type | Organization |
| Authorized Contact | KYLE BURKS Manager, Insurance Operations 989-327-7095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2023-09-27 |