| NPI | 1225861818 |
|---|---|
| Doing Business As | AVONDALE DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | LAUREN EMILY KOCH MACDONALD Owner 517-673-1967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |