NPI | 1285170035 |
---|---|
Former Legal Business Name | DR. CAROL TANASE FAMILY DENTSTRY P. C. |
Entity Type | Organization |
Authorized Contact | CAROL TANASE Owner 248-636-5120 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2017-01-17 |
Last Update Date | 2017-01-17 |