NPI | 1316419674 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE TEIFER Owner 734-454-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-12-27 |
Last Update Date | 2018-12-27 |