NPI | 1235747718 |
---|---|
Doing Business As | THE GENTLE DENTIST |
Entity Type | Organization |
Authorized Contact | ROBERT V ANTOLAK Dentist 586-247-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-07-21 |
Last Update Date | 2020-08-10 |