| NPI | 1255110375 |
|---|---|
| Doing Business As | WOW DENTAL |
| Entity Type | Organization |
| Authorized Contact | STEFANI HANNA Manager 313-371-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2023-09-27 |