| NPI | 1295453173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HORACIO ENRIQUE FALCON Dentisit 313-884-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2022-08-17 |