| NPI | 1194407460 |
|---|---|
| Doing Business As | THE VILLAGE DENTIST |
| Entity Type | Organization |
| Authorized Contact | KYLE BURKS Insurance Operations, Manager 989-327-7095 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-08-04 |