| NPI | 1265975551 |
|---|---|
| Doing Business As | THE DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KATHERINE SHACKLEFORD Owner 313-386-9660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |