NPI | 1194861765 |
---|---|
Other Name | EAGAN FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JOY VICTOR EAGAN Owner 248-569-8770 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 13440) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2020-08-22 |