NPI | 1164771481 |
---|---|
Doing Business As | REFRESH DENTAL WARREN - E. 12 MILE RD |
Entity Type | Organization |
Authorized Contact | SHAMS HAMAMA Regional Manager 586-573-7500 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2012-08-31 |
Last Update Date | 2018-04-19 |