NPI | 1285884734 |
---|---|
Doing Business As | KENNEDY DENTAL |
Entity Type | Organization |
Authorized Contact | ABBAS HUSSEIN BERRO Dentist/President 313-388-1800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901019129) |
Enumeration Date | 2008-09-22 |
Last Update Date | 2008-09-22 |