NPI | 1134572977 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA A SILVESTRI Dentist/Owner 734-649-8805 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: WA DE60270996) |
Enumeration Date | 2016-07-17 |
Last Update Date | 2016-07-17 |