| NPI | 1174135149 |
|---|---|
| Doing Business As | SUPERTEETH DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | NASEM BALLO Doctor/Owner 586-759-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |