| NPI | 1346360427 |
|---|---|
| Former Legal Business Name | PRUDENTIAL DENTAL |
| Entity Type | Organization |
| Authorized Contact | FRANK ZHILIN SUN President Owner 248-465-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901017690) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901017693) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |