| NPI | 1306383252 |
|---|---|
| Doing Business As | TEAM WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | ANTONIO POLLICELLA Chief Executive Officer 313-274-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2023-01-30 |