NPI | 1295304129 |
---|---|
Doing Business As | EVANS FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | KRISHNA MALAVIYA Owner 248-990-5478 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-06-24 |
Last Update Date | 2021-06-24 |